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Home My WebLink About2017 Feb 27 - Sign Off Transmittal, Floor Plans, Assessor's Info - Going from 2 to 3 BR TOWN OF YARMOUTH ,Ay c HEALTH DEPARTMENT cst," PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicant: Building Site Location: L 5 y r ci Proposed Improvement: 90, ,,, Y1 ? /c, ti r✓ / 60_,0// /o a, 11 o► J4 Applicant: 5'---_ a u c 1 Tel. No.: Yo '�-7� ( - -7 Address: 2 S , C l r G k-, Date Filed: 2-A 7 / i **Ifyou would like e-mail notification of sign off please provide e-mail address: 1i v.5 5 h t, , 1 J, 2 I Ower Name: J e.p n )JE . 0, Owner Address: Z- J /'car; c- s C Owner Tel No.:-.7 Y -3 ' - '� v RESIDENTIAL AND/OR COMMERCIAL BUILDING HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations; i.e., Requirements For Septage Disposal and other Public Health Activities. Please submit three (3) copies of plans, to include: (1.) Site Plan showing existing buildings, water line location, and septic system location; (2.) Floor plan labeling ALL rooms within building (all existing and proposed) — Note:Floor plans not required for decks,sheds, windows, roofing; (3.) If necessary, Title 5 application signed by licensed installer with fee. REVIEWED BY: e-Thi(7/ DATE: ? _? 7 PLEASE NOTE COMMENTS/CONDITION�S�1• ,.._ �� t1 r�� t4QQSe. eco c `F`v' $cac( V � j �C,e a ticdvcy -- t 5 (.71%4,14_ N N # a O ' a. O N m Ipt .;'. :*'- .,' az ca CO i6 to (on r, ,.7.,frtiliN --,ot — C U C. ..., 4,,,..‘,....,... ..4 co of r, c, . et ii mom * . CD enr�a ,r MI O N OBD M R i -' w' � p .O .Q O C `a g IN rn 00 00, er O UO ,�R Vi O %'� OO erO NO N 7 0'1'..= '4 O O O 7 7 Q '►i- C N en M a O — — O c7 N V,N Q®_ ` hw e c ISI im —... ® � F� = E U y� tri, .=, K,CC R ''A ° 112 .0.-5. .3 ° O O f3. v,v,v, oo °N o Z eG <':";8 n O� w U X00 °' �' �...,NI t.1 • :1.3E- N •-' C5 ' i o ° s L o .ti� EEEtn- VZ U o E F o El. 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